Long-Term Care Auditor I - Remote
$45k - $55kGainwell Technologies
- Remote job
Select how often (in days) to receive an alert: Long-Term Care Auditor I - Remote Date: Jan 23, 2026 Location: Any city, AR, US, 99999 Work Mode: Virtual (Exception only) Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary The Long-Term Care Auditor I is an entry level position responsible for the identification and recovery of Medicaid improper payments made to long term care healthcare providers. We are looking for a highly organized and detail-oriented Long-Term Care Auditor I to join our team. In this entry level role, you’ll support the accuracy and integrity of long term care Medicaid payments by conducting audits, analyzing financial data, and partnering with providers throughout the review process. The ideal candidate excels at problem-solving, communication, and managing multiple priorities. Your role in our mission Interpret and apply federal and state Medicaid regulations, statutes, and policies related to long term care. Analyze provider records across multiple accounting software systems to identify discrepancies. Identify improper payments, including those resulting from inaccurate payments, collections issues, and coordination of benefits. Serve as the primary liaison for assigned long term care providers, ensuring clear and consistent communication. Manage a caseload of 30+ in various stages of completion. Prepare and deliver provider reports and maintain ongoing communication throughout the audit process. Provide regular status updates and reports to management. What we\'re looking for Bachelor’s degree required or Associate’s degree with five(5) years of related experience Strong analytical and problem solving skills. Ability to work independently, manage competing deadlines, and handle multiple initiatives simultaneously. Excellent organizational and time management skills to meet or exceed revenue and audit targets. Exceptional written and verbal communication skills, with the ability to build strong relationships with internal teams and long term care providers. Flexibility to adapt to shifting priorities and follow direction as needed. What you should expect in this role Work Arrangement: Fully Remote / Work from Home Must reside in Eastern or Central Time Zone locations Video cameras must be used during all interviews, as well as during the initial week of orientation. Reliable broadband internet required (minimum 24 Mbps download / 8 Mbps upload; higher speeds recommended). To test your connection speed, search “Internet Speed Test” on Google. Employee Benefits & Perks: Health benefits (medical, dental, and vision) begin on Day 1 of employment. 401(k) with company match and additional benefits become available within the first few months. Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell. Career growth and advancement opportunities are encouraged and supported. A company-provided computer is supplied for work use. This posting is intended for pipelining. We will accept applications on an ongoing basis.
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The pay range for this position is $45,000.00 - $55,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. #J-18808-Ljbffr Gainwell Technologies- ...Hedis Auditor Rn/Lpn Integrated Resources, Inc is a premier staffing firm recognized as... ...to working from home 4 days a week. How long that takes is dependent on how quickly they... ...up. There is weekly onsite meeting which candidate must attend and remote other days....Remote workContract workWork from home
$78.4k - $107.8k
...Overview Become a part of our caring community. The Nurse Auditor 2 will perform Readmission or Short Stay... ...Work Details Work from home position. Remote work requires appropriate internet... ...and caregiver leave, short-term and long-term disability, life insurance, among...Remote workTemporary workApprenticeshipWork from home- ...Focusing on Coding & Clinical Chart Validation, the full-time Clinical Auditor RN will conduct audits of outpatient and specialty claims, ensuring coding accuracy and medical necessity while utilizing advanced audit tools and maintaining productivity standards. Key Responsibilities...Remote workFull time
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...Become a part of our caring community The Nurse Auditor 2 will perform Readmission or Short Stay clinical... ...Additional Information · Work Style: Remote/Work at Home. While this is a... ...parental and caregiver leave), short-term and long-term disability, life insurance and...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York. Job Responsibility 1. Leverages clinical expertise to identify...Remote workHourly payFull time
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...The Medical Review Clinical Appeals Auditor (RN) is responsible for conducting Appeals... ...clinical decision-making tools such as Millimen Care Guidelines (MCG) or InterQual. Working... ...the ability to work independently in remote setting with minimum supervision and...Remote workFor contractorsImmediate startWork from homeHome officeFlexible hoursShift work- ...Machinify is looking for a Medical Review Nurse to perform medical claims audits for government clients. This remote position requires expertise in coding and a minimum of five years nursing experience. You will work alongside a dedicated team in a dynamic environment...Remote work
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...are looking for a strong clinical nurse auditor to become part of our fast growing government... ...County, MD area is dedicated to health care compliance of government providers,... ..., The nurse auditor position is a hybrid-remote position. Initial and periodic training will...Remote workFull timeFor contractors$46.08 - $71.53 per hour
...Job Description Providence is calling for Revenue Cycle Auditor RN - Full time, Day, Remote The Revenue Cycle Auditor is responsible for... ...and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your...Remote workMinimum wageFull timeLocal areaShift work- UnitedHealth Group's Optum is seeking a Clinical DRG RN auditor to apply MS-DRG/APR-DRG coding and CMS guidelines to inpatient claims. Remote work is available nationwide; you will identify overpayments and document audit rationales to support findings. Requirements include...Remote job
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...Health is looking for a Diagnosis Related Group Clinical Validation Auditor‑RN to conduct thorough audits of medical claims. The role... ...clinical documentation improvement. This position primarily allows remote work while maintaining high standards for accuracy and quality....Remote job- Machinify Inc. is seeking a Medical Review Nurse for remote work in the US. You will be part of a dynamic team, performing audits on... ...ensuring adherence to guidelines, and collaborating with other auditors. An associate or bachelor's nursing degree and experience in auditing...Remote job
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...Revenue Cycle Auditor RN The Revenue Cycle Auditor is responsible for providing patient focused, standardized, compliant revenue cycle... ...and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice...Remote jobFull time- ...and compliance with healthcare standards, the full-time remote Registered Nurse Clinical Auditor will perform detailed medical record audits, analyze clinical... ...role Minimum of two years of RN experience in an acute care setting Behavioral Health and/or Inpatient DRG...Remote workFull time
$35 - $62.5 per hour
...Clinical DRG RN Auditor $10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS... ...organization that delivers care, aided by technology, to... ...Insurance along with Short-term disability and Long-Term Disability coverage ~... ...to work independently in a remote environment and deliver exceptional...Remote workHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package- ...Nurse Auditor Lewiston, ID Exp 5-7 years This position can be located in Tacoma, WA; Seattle, WA; Burlington, WA; Salt Lake City... ...Excel and Outlook, internet search). Familiarity with health care documentation systems. Strong verbal, written and...Remote workWork at office
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- Job Announcement As needed, additional positions may be filled using this announcement. This position is also being announced to applicants eligible to apply through Merit Staffing procedures under 26-NYW-12986888-MS.Remote work
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- ...Full-time Description University Health Network is seeking a Full-Time Coding Auditor. This role requires normal business hours Monday-Friday and is a remote position with occasional on-site meetings. Candidate must be able to maintain HIPAA privacy requirements...Remote workFull timeWork at officeWork from homeMonday to Friday
$40 - $45 per hour
A leading energy solutions provider is seeking a Prevailing Wage and Apprenticeship Compliance Auditor. This remote position involves auditing data for renewable energy projects, ensuring compliance with labor laws, and reporting findings to upper management. Candidates...Remote workApprenticeship- ...ReSource Pro is seeking a Remote Physical Auditor to join our Premium Services Audit team. You will conduct in-person and virtual premium audits to ensure accurate classification and reporting of workers’ compensation and general liability exposures. Responsibilities include...Remote work
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...loss control prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine the... ...audit locations. Hybrid position - work from home and complete remote audits 2-3 days per week. Job Requirements Associate’s Degree...Remote workWeekly payLocal areaImmediate startWork from homeHome office2 days per week3 days per week- ...CGS Administrators LLC is seeking a full-time Auditor with a flexible remote work schedule. The role includes conducting compliance audits and developing detailed audit reports. Candidates must have a Bachelor's in a job-related field and 5 years auditing experience....Remote workFull timeFlexible hours
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